Individual provider Active NPI

Lee Grayson Castro, NP

  • Acute Care Nurse Practitioner
  • New Hyde Park, NY
National Provider Identifier
1659863462
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
431371 Issued in NY
Practice address
27005 76TH Ave
New Hyde Park, NY 11040
Phone
(718) 470-7000
NPI assigned
Jun 6, 2018
Last updated
Apr 30, 2024By the provider in NPPES
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 431371 NY Primary
Registered Nurse 163W00000X 632529 NY

Addresses

Primary practice location

27005 76TH Ave
New Hyde Park, NY 11040

Mailing address

277 Harrison Ave
Miller Place, NY 11764-3429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190708001413 NY Practitioner - Nurse Practitioner 3678808078 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Wellness PCGroup PAC ID 6709128697, 22 clinicians
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

1050 Old Nichols Rd
FL 2
Islandia, NY 11749-5026
Phone (631) 828-4545

27005 75TH Ave
New Hyde Park, NY 11040-1402
Phone (718) 470-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
632529NYMDRegistered Nurse
431371NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Critical Care, LLP CurrentSince Nov 15, 2019 Accepting new patients
North Shore-Lij Medical PC CurrentSince May 18, 2019 Accepting new patients
Community Medical Wellness PC CurrentSince Mar 1, 2026 Accepting new patients
Samaritan Medical Services, P.C. CurrentSince Jul 1, 2023 Accepting new patients
Timothy D. Groth MD PC CurrentSince Aug 22, 2022 Accepting new patients
Harmony Health Advocates Inc. Current Accepting new patients

Locations

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

101 Saint Andrews Ln
Glen Cove, NY 11542
Phone (516) 674-7300

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

1050 Old Nichols Rd
Fl 2
Islandia, NY 11749
Phone (631) 480-5091

300 Community Dr
Manhasset, NY 11030

400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200

27005 76th Ave
North New Hyde Pk, NY 11040

888 Old Country Rd
Plainview, NY 11803
Phone (516) 719-2543

1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000

1500 William Floyd Pkwy
Ste 201
Shirley, NY 11967
Phone (631) 205-0800

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

994 W Jericho Tpke
Ste 104
Smithtown, NY 11787
Phone (516) 400-3595

221 Jericho Tpke
Syosset, NY 11791
Phone (516) 496-6400

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1659863462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 HARRISON AVE",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117643429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27005 76TH AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11040",
            "telephone_number": "718-470-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "LEE",
        "middle_name": "GRAYSON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2018-06-06",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "431371",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "632529",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.